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. 2001 Sep;85(3):183–188. doi: 10.1136/adc.85.3.183

Breast feeding and cognitive development at age 1 and 5 years

N Angelsen 1, T Vik 1, G Jacobsen 1, L Bakketeig 1
PMCID: PMC1718901  PMID: 11517096

Abstract

AIM—To examine whether duration of breast feeding has any effect on a child's cognitive or motor development in a population with favourable environmental conditions and a high prevalence of breast feeding.
METHODS—In 345 Scandinavian children, data on breast feeding were prospectively recorded during the first year of life, and neuromotor development was assessed at 1 and 5 years of age. Main outcome measures were Bayley's Scales of Infant Development at age 13months (Mental Index, MDI; Psychomotor Index, PDI), Wechsler Preschool and Primary Scales of Intelligence (WPPSI-R), and Peabody Developmental Scales at age 5.
RESULTS—Children breast fed for less than 3 months had an increased risk, compared to children breast fed for at least 6 months, of a test score below the median value of MDI at 13 months and of WPPSI-R at 5 years. Maternal age, maternal intelligence (Raven score), maternal education, and smoking in pregnancy were significant confounders, but the increased risk of lower MDI and total IQ scores persisted after adjustment for each of these factors. We found no clear association between duration of breast feeding and motor development at 13 months or 5 years of age.
CONCLUSION—Our data suggest that a longer duration of breast feeding benefits cognitive development.



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Selected References

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  1. Anderson J. W., Johnstone B. M., Remley D. T. Breast-feeding and cognitive development: a meta-analysis. Am J Clin Nutr. 1999 Oct;70(4):525–535. doi: 10.1093/ajcn/70.4.525. [DOI] [PubMed] [Google Scholar]
  2. Bacharach V. R., Baumeister A. A. Effects of maternal intelligence, marital status, income, and home environment on cognitive development of low birthweight infants. J Pediatr Psychol. 1998 Jun;23(3):197–205. doi: 10.1093/jpepsy/23.3.197. [DOI] [PubMed] [Google Scholar]
  3. Bakketeig L. S., Jacobsen G., Hoffman H. J., Lindmark G., Bergsjø P., Molne K., Rødsten J. Pre-pregnancy risk factors of small-for-gestational age births among parous women in Scandinavia. Acta Obstet Gynecol Scand. 1993 May;72(4):273–279. doi: 10.3109/00016349309068037. [DOI] [PubMed] [Google Scholar]
  4. Birch E. E., Garfield S., Hoffman D. R., Uauy R., Birch D. G. A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants. Dev Med Child Neurol. 2000 Mar;42(3):174–181. doi: 10.1017/s0012162200000311. [DOI] [PubMed] [Google Scholar]
  5. Fergusson D. M., Beautrais A. L., Silva P. A. Breast-feeding and cognitive development in the first seven years of life. Soc Sci Med. 1982;16(19):1705–1708. doi: 10.1016/0277-9536(82)90096-x. [DOI] [PubMed] [Google Scholar]
  6. Frankenburg W. K., Coons C. E. Home Screening Questionnaire: its validity in assessing home environment. J Pediatr. 1986 Apr;108(4):624–626. doi: 10.1016/s0022-3476(86)80853-8. [DOI] [PubMed] [Google Scholar]
  7. Golding J., Rogers I. S., Emmett P. M. Association between breast feeding, child development and behaviour. Early Hum Dev. 1997 Oct 29;49 (Suppl):S175–S184. doi: 10.1016/s0378-3782(97)00062-5. [DOI] [PubMed] [Google Scholar]
  8. Jacobson S. W., Jacobson J. L. Breastfeeding and intelligence. Lancet. 1992 Apr 11;339(8798):926–926. doi: 10.1016/0140-6736(92)90962-3. [DOI] [PubMed] [Google Scholar]
  9. Lucas A., Morley R., Cole T. J., Gore S. M. A randomised multicentre study of human milk versus formula and later development in preterm infants. Arch Dis Child Fetal Neonatal Ed. 1994 Mar;70(2):F141–F146. doi: 10.1136/fn.70.2.f141. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Lucas A., Morley R., Cole T. J., Gore S. M., Lucas P. J., Crowle P., Pearse R., Boon A. J., Powell R. Early diet in preterm babies and developmental status at 18 months. Lancet. 1990 Jun 23;335(8704):1477–1481. doi: 10.1016/0140-6736(90)93026-l. [DOI] [PubMed] [Google Scholar]
  11. Lucas A., Morley R., Cole T. J., Lister G., Leeson-Payne C. Breast milk and subsequent intelligence quotient in children born preterm. Lancet. 1992 Feb 1;339(8788):261–264. doi: 10.1016/0140-6736(92)91329-7. [DOI] [PubMed] [Google Scholar]
  12. Malloy M. H., Berendes H. Does breast-feeding influence intelligence quotients at 9 and 10 years of age? Early Hum Dev. 1998 Jan 9;50(2):209–217. doi: 10.1016/s0378-3732(97)00044-1. [DOI] [PubMed] [Google Scholar]
  13. Michaelsen K. F., Larsen P. S., Thomsen B. L., Samuelson G. The Copenhagen cohort study on infant nutrition and growth: duration of breast feeding and influencing factors. Acta Paediatr. 1994 Jun;83(6):565–571. doi: 10.1111/j.1651-2227.1994.tb13082.x. [DOI] [PubMed] [Google Scholar]
  14. Morley R., Cole T. J., Powell R., Lucas A. Mother's choice to provide breast milk and developmental outcome. Arch Dis Child. 1988 Nov;63(11):1382–1385. doi: 10.1136/adc.63.11.1382. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Morley R., Lucas A. Nutrition and cognitive development. Br Med Bull. 1997 Jan;53(1):123–134. doi: 10.1093/oxfordjournals.bmb.a011595. [DOI] [PubMed] [Google Scholar]
  16. Morrow-Tlucak M., Haude R. H., Ernhart C. B. Breastfeeding and cognitive development in the first 2 years of life. Soc Sci Med. 1988;26(6):635–639. doi: 10.1016/0277-9536(88)90028-7. [DOI] [PubMed] [Google Scholar]
  17. Niemelä A., Järvenpä A. L. Is breastfeeding beneficial and maternal smoking harmful to the cognitive development of children? Acta Paediatr. 1996 Oct;85(10):1202–1206. doi: 10.1111/j.1651-2227.1996.tb18229.x. [DOI] [PubMed] [Google Scholar]
  18. Paine B. J., Makrides M., Gibson R. A. Duration of breast-feeding and Bayley's Mental Developmental Index at 1 year of age. J Paediatr Child Health. 1999 Feb;35(1):82–85. doi: 10.1046/j.1440-1754.1999.00331.x. [DOI] [PubMed] [Google Scholar]
  19. Pollock J. I. Long-term associations with infant feeding in a clinically advantaged population of babies. Dev Med Child Neurol. 1994 May;36(5):429–440. doi: 10.1111/j.1469-8749.1994.tb11869.x. [DOI] [PubMed] [Google Scholar]
  20. Richards M., Wadsworth M., Rahimi-Foroushani A., Hardy R., Kuh D., Paul A. Infant nutrition and cognitive development in the first offspring of a national UK birth cohort. Dev Med Child Neurol. 1998 Mar;40(3):163–167. [PubMed] [Google Scholar]
  21. Rodgers B. Feeding in infancy and later ability and attainment: a longitudinal study. Dev Med Child Neurol. 1978 Aug;20(4):421–426. doi: 10.1111/j.1469-8749.1978.tb15242.x. [DOI] [PubMed] [Google Scholar]
  22. Rogan W. J., Gladen B. C. Breast-feeding and cognitive development. Early Hum Dev. 1993 Jan;31(3):181–193. doi: 10.1016/0378-3782(93)90194-y. [DOI] [PubMed] [Google Scholar]
  23. Silva P. A., Buckfield P., Spears G. F. Some maternal and child developmental characteristics associated with breast feeding: a report from the Dunedin Multidisciplinary Child Development Study. Aust Paediatr J. 1978 Dec;14(4):265–268. doi: 10.1111/j.1440-1754.1978.tb02996.x. [DOI] [PubMed] [Google Scholar]
  24. Taylor B., Wadsworth J. Breast feeding and child development at five years. Dev Med Child Neurol. 1984 Feb;26(1):73–80. doi: 10.1111/j.1469-8749.1984.tb04409.x. [DOI] [PubMed] [Google Scholar]
  25. Temboury M. C., Otero A., Polanco I., Arribas E. Influence of breast-feeding on the infant's intellectual development. J Pediatr Gastroenterol Nutr. 1994 Jan;18(1):32–36. doi: 10.1097/00005176-199401000-00005. [DOI] [PubMed] [Google Scholar]
  26. Vestergaard M., Obel C., Henriksen T. B., Sørensen H. T., Skajaa E., Ostergaard J. Duration of breastfeeding and developmental milestones during the latter half of infancy. Acta Paediatr. 1999 Dec;88(12):1327–1332. doi: 10.1080/080352599750030022. [DOI] [PubMed] [Google Scholar]
  27. Xiang M., Alfvén G., Blennow M., Trygg M., Zetterström R. Long-chain polyunsaturated fatty acids in human milk and brain growth during early infancy. Acta Paediatr. 2000 Feb;89(2):142–147. doi: 10.1080/080352500750028735. [DOI] [PubMed] [Google Scholar]

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